Subcontractor Prequalification Form

Please complete all applicable fields. Upload certificates where requested. Fields marked with * are recommended.

I. Company Information

Tell us about your company and primary contacts.

Legal Company Name *
Trade Name (DBA)
Federal Tax ID Number
DIR #
Primary Geographic Region *
Company Structure *
Year Established *
Type of Subcontractor / Vendor *
Please give a brief description of the services your company provides (100-150 words): *
Primary Business Address
Street *
City *
State *
ZIP Code *
Contact Information
Primary Contact Name *
Title *
Phone Number *
Email Address *
Alternative Contact Phone
Bid Invite Contact Email(s) *
II. Business Licensing & Certifications

Provide license details and certifications.

State Contractor's License Number *
License Classification *
Professional Certifications
Business Certifications
Union *
License Expiration Date *
III. Insurance Information

Confirm minimums and enter policy details.

Ironcore Construction's Minimum Insurance Requirements
Employer's Liability
$1,000,000 – Each Occurrence
$2,000,000 – General Aggregate
$1,000,000 – Products/Completed Operations Aggregate
Commercial General Liability
$1,000,000 – Each Occurrence
$2,000,000 – Aggregate
Including Products/Completed Operations and Contractual Liability
Commercial Auto Liability
$2,000,000 – Each Person for Bodily Injury
$2,000,000 – Each Accident for Bodily Injury
$2,000,000 – Each Occurrence for Property Damage
Including Bodily Injury and Property Damage
Worker's Compensation Insurance
$1,000,000 – Each Accident
$1,000,000 – Each Employee
$1,000,000 – Policy Limit
Does your company meet Ironcore Construction's minimum insurance requirements? *

(Please attach a copy of your Insurance Certificate.)

Upload Insurance Certificates (PDF or Word)
General Liability Insurance
Carrier *
Policy Number *
Coverage Limit ($) *
Expiration Date *
Workers' Compensation Insurance
Carrier *
Policy Number *
Coverage Limit ($) *
Expiration Date *
Professional Liability / Errors & Omissions
Carrier *
Policy Number *
Coverage Limit ($) *
Expiration Date *
Vehicle Insurance
Carrier *
Policy Number *
Coverage Limit ($) *
Expiration Date *
IV. Operational Capacity

Number of employees and key personnel.

Number of Employees
Total Workforce *
Management Staff
Field / Technical Staff
Key Personnel
V. Project Experience

Add relevant projects to demonstrate scope + reliability.

Swipe horizontally to view all project columns.

Year Project Name Client Contract Value Project Type Reference Contact

You can add up to 10 projects. 1/10

VI. Safety & Compliance

Confirm safety requirements and provide OSHA/EMR.

Ironcore Construction's Minimum Safety Requirements

A safety, health, and accident prevention program which includes:

  • A program to ensure safety and health issues are pre-planned into each project and work operation
  • An accident/incident investigation procedure
  • A safety and health-training program
  • New employee/project orientation
  • Weekly toolbox meetings
  • Daily job briefings
  • Supervisor safety training
  • Task-specific training and OSHA required training
Does your company meet Ironcore Construction's minimum safety requirements? *
OSHA Safety Record
OSHA Recordable Incidents (Last 4 Years) *
Lost Time Incidents *
Experience Modification Rate (EMR) *
1. Year
EMR
2. Year
EMR
3. Year
EMR
4. Year
EMR
Consent and Acknowledgment Statement

The following consents are required for us to process your submission. Without these consents, we will be unable to proceed with your application.

By submitting this form, you acknowledge and agree to the following:

  1. All information provided in this form is true, complete, and accurate to the best of your knowledge.
  2. Your company holds all valid and necessary licenses, certifications, and insurance coverage, as disclosed in the form, and is legally authorized to perform the scope of work under applicable California law.
  3. Your company possesses the operational capacity, relevant experience, and safety practices necessary to perform the type of work for which it is being considered, as disclosed in this form.
  4. Ironcore Construction (“Ironcore”) may verify the information provided with relevant licensing authorities, insurance providers, and references.
  5. Submission of this form does not constitute prequalification or guarantee the award of any contract, project, or future work.
  6. The information you provide will be used solely to assess your qualifications and will be handled in accordance with Ironcore’s privacy practices as outlined in the Privacy Policy and all applicable privacy laws.
  7. You consent to the use of the information provided for communications related solely to this application.

By clicking ‘SUBMIT,’ you confirm that you have read and understood this Consent and Acknowledgment Statement and that you are authorized to act on behalf of your company.